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1、SpontaneousPneumothoraxThoracicsurgerynursingwardroundThespeaker:WuhanPolytechnicUniversity自发性气胸GroupdivisionoflaborCase-------------------------------------甄媛媛Etiologyandclassification-----于广平马莹Clinicalmanifestations----------蒋娟Auxiliaryexaminationand--------桓秀山刘严逸夫TherapeuticprinciplesNurs
2、ingmeasures----------------毛雅琴潘娟王辉Healtheducation-----------------李飘飘赵娟CASEPatientYuWeichengmale17yearsWithpainatleftchestanddifficultybreathing,chestdistress10days.Pastmedicalhistory:Alwaysbodyhealth,denyhistoryofotherseriousdiseasesanddrugallergy.Historyofpresentdisease:Withoutanyobviousca
3、use,hefeltpainattheleftchestanddifficultybreathing,chestdistress10daysago.Nofever,lowhead,cough,haemoptysis,lackofpower,nightsweatandsoon.Atfirstdidnotpayattentiontothese,butsymptomsfornoease.Achestradiographyshowedthattheleftlungtissuecompressionby85%.Physicalexamination:T37.3,P96/min,R20/m
4、in,BP140/80mmHgIntelligenceclear,trachealatthecenterofneck.Theleftbreathsoundsalittleweak.Diagnosticexamination:WBC11.410^9,N8.05,L18.1Admissiondiagnosis:SpontaneousPneumothorax病例患者：余炜成，男，17岁左侧胸痛、胸闷伴呼吸困难10天。既往史：既往体健，否认其他重大疾病病史及药物过敏史。现病史：患者于10天前无明显诱因，自感左侧胸痛、胸闷，偶有呼吸困难，无发热、咳嗽、咳痰、咯血、心慌、乏力、盗汗、声嘶等
5、不适。起初未予注意，症状持续无明显缓解，胸片检查，提示：左侧肺组织压缩85%左右。体格检查：T37.3,P96次/分,R20次/分,BP140/83mmHg,神智清楚，皮肤巩膜无黄染，气管居中，左侧呼吸音稍弱，未明显干湿罗音。辅助检查：WBC11.410^9,N8.05,L18.1入院诊断：左侧自发性气胸Etiologyandclassification病因及分类THESPEAKER:于广平ThecauseofspontaneouspneumothoraxClassificationofoneSpontaneouspneumothoraxTraumapneumothoraxAr
6、tificialpneumothoraxClassificationoftwoClosedpneumothoraxOpenpneumothoraxTensionpneumothoraxThecauseofspontaneouspneumothoraxWhenatriggercausesalveolarpressurerisesharply,lesionsofthelungandpleuralruptureoccurs,thepleuralcavityiscommunicatedwiththeair,airflowwillflowintothethoraxleadtothefor
7、mationofspontaneouspneumothorax.Clinicalmanifestations临床表现与体征——蒋娟Clmicalmanifestations（临床表现）：Suddenchestpain（突然发生胸痛），difficultyinbreathing（呼吸困难），chesttightness(胸闷)，inseverecasesirritability、profusely、cyanosis（严重者烦躁不安、大汗、紫绀）acceleratedrespiration（呼吸
